Provider Demographics
NPI:1679230684
Name:SIMEDHEALTH, LLC
Entity Type:Organization
Organization Name:SIMEDHEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUNCANSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-224-2302
Mailing Address - Street 1:4343 W NEWBERRY ROAD STE 18 ADMINISTRATION
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607
Mailing Address - Country:US
Mailing Address - Phone:352-224-2200
Mailing Address - Fax:352-224-2484
Practice Address - Street 1:4343 W NEWBERRY ROAD SUITE 13
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2825
Practice Address - Country:US
Practice Address - Phone:352-332-7770
Practice Address - Fax:352-332-2825
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIMEDHEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty